Individual
KATIE SINCLAIR KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1360 BEVERLY RD STE 200, MC LEAN, VA 22101-3647
(703) 831-8300
Mailing address
918 SPRING KNOLL DR, HERNDON, VA 20170-3924
(703) 307-7893
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0810005728
VA
Other
Enumeration date
07/06/2017
Last updated
09/26/2019
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